Individual
JESSICA MICHELLE EGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-4466
Mailing address
437 WINTER BLUFF DR, FENTON, MO 63026-6577
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2020009548
MO
Other
Enumeration date
03/19/2020
Last updated
11/02/2021
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